اثربخشی گروه درمانی مبتنی بر مدل مراحل تغییر بر طرحواره‌های ناسازگار اولیه زنان مبتلا به چاقی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

2 استادیار، گروه روانشناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

چکیده

مقدمه: چاقی معضلی رو به رشد در جوامع بشری است که با تبعات منفی فردی و اجتماعی بسیاری همراه می­ باشد و لازم است مداخلات مؤثر در کاهش این عوارض، شناسایی شوند. هدف پژوهش حاضر، تعیین اثربخشی گروه درمانی مبتنی بر مدل مراحل تغییر بر طرحواره­ های ناسازگار اولیه زنان مبتلا به چاقی بود.
مواد و روش­ ها: روش پژوهش نیمه ­آزمایشی از نوع پیش‌آزمون، پس‌آزمون و پیگیری با گروه کنترل بود. جامعه آماری پژوهش حاضر را تمامی زنان مبتلا به چاقی مراجعه­ کننده به کلینیک‌های شهر تهران در سال 1398 تشکیل دادند. تعداد 30 ﻧﻔﺮ بر اساس ﻣﻌﯿﺎرﻫﺎی ورود ﺑﻪ ﻣﻄﺎﻟﻌﻪ و ﺑﺎ روش نمونه­ گیری در دسترس انتخاب، و به روش تصادفی در دو گروه 15 نفره (گروه آزمایش و گروه کنترل) جایگزین شدند. ابزار پژوهش، پرسش­نامه طرحواره‌های ناسازگارانه اولیه Young (2005) بود که برای پیش­ آزمون، پس­ آزمون و پیگیری توسط شرکت­ کنندگان تکمیل شد. پروتکل گروه­ درمانی مبتنی بر مدل مراحل تغییر در 28 جلسه 90 دقیقه ­ای برای گروه آزمایش انجام شد. برای گروه کنترل مداخله ­ای صورت نگرفت. تجزیه و تحلیل داده­ ها توسط تحلیل واریانس مکرر انجام شد.
یافته ­ها: یافته‌ها نشان داد که گروه ­درمانی مبتنی بر مدل مراحل تغییر بر کاهش طرحواره ­های ناسازگار اولیه زنان مبتلا به چاقی در مرحله پس­ آزمون و پیگیری اثر معنی­ دار دارد (۰۰۵/۰>p).
نتیجه­ گیری: به نظر می­ رسد مدل مراحل تغییر بر اصلاح طرحواره­ های ناسازگار اولیه زنان مبتلا به چاقی تأثیر دارد. یافته‌های این پژوهش می‌تواند تلویحات کاربردی در زمینه درمان طرحواره ­های ناسازگار اولیه در زنان مبتلا به چاقی از طریق درمان مبتنی بر مدل مراحل تغییر ارائه دهد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Group Therapy Based on Transtheoretical Model in Early Maladaptive Schemas of Women with Obesity

نویسندگان [English]

  • O Ghasemi 1
  • M Asgharpour 2
  • F Meschi 2
  • Sh Sodagar 2
1 PhD Student, Dept of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
2 Assistant Prof, Dept of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
چکیده [English]

Introduction: Obesity is a growing problem in human societies that is associated with many negative individual and social consequences; therefore, effective interventions need to be identified to reduce these complications. This study aimed to evaluate the effectiveness of group therapy based on the transtheoretical model in early maladaptive schemas of women with obesity.
Materials and Methods: The research method was quasi-experimental with pre-test, post-test, and follow-up with the control group. The statistical population of the present study consisted of all obese women admitted to the clinics in Tehran in 2019. Of these, 30 women were selected based on inclusion criteria and available sampling methods and were randomly allocated to two groups: an experimental group and a control group, each containing 15 women. The research instrument was Yang's Schema Questionnaire. The group therapy based on the transtheoretical model was performed in the form of 28 90-minute sessions for the experimental group and no intervention was performed for the control group. A mixed ANOVA was performed in SPSS-18 was used to analyze the data.
Results: The results showed that group therapy based on the transtheoretical model had a significant effect on reducing the initial maladaptive schemas of women with obesity in the experimental group in the post-test and follow-up stages (p<0.005).
Conclusion: Based on the research findings, it seems that the transtheoretical model has an effect on correcting the early maladaptive schemas of women with obesity. The findings of this study can provide practical implications for the treatment of early maladaptive schemas in women with obesity through treatment based on the transtheoretical model.

کلیدواژه‌ها [English]

  • Obesity
  • Maladaptive Schemas
  • Group Therapy Based on Transtheoretical Model

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